Evidence map›Paper›PMID 27660492›Full record

ArticleInternational journal of women's health2016

Experiences of social support among women presenting for obstetric fistula repair surgery in Tanzania.

Alexis C Dennis, Sarah M Wilson, Mary V Mosha, Gileard G Masenga, Kathleen J Sikkema, Korrine E Terroso, Melissa H Watt

Open access · goldAbstract read
In one paragraph

Article in International journal of women's health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Supporting Women after Obstetric Fistula Surgery to Enhance Their Social Participation and Inclusion.International journal of environmental research and public health · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Women's experiences of care after stillbirth and obstetric fistula: A phenomenological study in Kenya.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. The mobile surgical outreach program for management of patients with genital fistula in the Democratic Republic of Congo.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2020
    Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Alexis C DennisDuke Global Health Institute, Duke University.
Sarah M WilsonDuke Global Health Institute, Duke University; Department of Veterans Affairs, Mid-Atlantic Mental Illness Research, Education and Clinical Center; Durham Veterans Affairs Medical Center, Durham, NC, USA.
Mary V MoshaKilimanjaro Christian Medical Center, Moshi, Tanzania.
Gileard G MasengaKilimanjaro Christian Medical Center, Moshi, Tanzania.
Kathleen J SikkemaDuke Global Health Institute, Duke University; Department of Psychology and Neuroscience, Duke University, Durham, NC, USA; Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Korrine E TerrosoDuke Global Health Institute, Duke University.
Melissa H WattDuke Global Health Institute, Duke University.
Duke University · USKilimanjaro Christian Medical Centre · TZ

Funding

Development of Mental Health Treatment for Obstetric Fistula PatientsR21HD073681 · NICHD · DUKE UNIVERSITY · PI WATT, MELISSA H · 2013 to 2014
$389k
NICHD NIH HHS R21 HD073681
6 · The paper itself

Abstract

objectiveAn obstetric fistula is a childbirth injury resulting in uncontrollable leakage of urine and/or feces and can lead to physical and psychological challenges, including social isolation. Prior to and after fistula repair surgery, social support can help a woman to reintegrate into her community. The aim of this study was to preliminarily examine the experiences of social support among Tanzanian women presenting with obstetric fistula in the periods immediately preceding obstetric fistula repair surgery and following reintegration. PATIENTS AND

methodsThe study used a mixed-methods design to analyze cross-sectional surveys (n=59) and in-depth interviews (n=20).

resultsWomen reported widely varying levels of social support from family members and partners, with half of the sample reporting overall high levels of social support. For women experiencing lower levels of support, fistula often exacerbated existing problems in relationships, sometimes directly causing separation or divorce. Many women were assertive and resilient with regard to advocating for their fistula care and relationship needs.

conclusionOur data suggest that while some women endure negative social experiences following an obstetric fistula and require additional resources and services, many women report high levels of social support from family members and partners, which may be harnessed to improve the holistic care for patients.

Indexed as

maternal morbidityobstetric fistulasocial supportTanzania

Identifiers

PMID27660492
PMCPMC5019876
OpenAlexW2516358428

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.